Individual
DAVID G WIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-5323
(412) 578-4981
Mailing address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-5323
(412) 578-4981
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD491421
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104548933
MEDICAID
PA
01
—
CAQH
16606914
—
Enumeration date
05/28/2020
Last updated
12/10/2025
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